Dr. SHRIRANG JOSHI
M.D.S. Consulting Orthodontist

Dr. ARCHANA  JOSHI M.D.S. Consulting Oral & Maxillofacial Surgeon
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Orthodontic Policies
Oral Surgery Policies
WELCOME TO ORAL SURGERY
Oral and Maxillofacial Surgery is a branch of Dentistry that deals with the art of diagnosis and treatment of various diseases, injuries and defects involving the orofacial region.

Oral and Maxillofacial Surgery essentially deals with simple or complicated extractions of teeth and related management, especially extraction of wisdom or any impacted teeth, Management of all the following conditions like Cysts and Tumors involving the jaw bones, Orofacial pain, Disorders of the maxillary sinuses, Dentoalveolar trauma or Facial trauma, Temporomandibular Joint disorders, Salivary gland diseases , Orofacial infections involving soft and hard tissues, Pre-prosthetic surgical procedures, Bone grafting and Implantology. It also includes diagnosis and management of facial neuropathies, Dentofacial deformities like Cleft lip and palate and plays a major role in detection and management of precancerous lesions like Oral Submucous Fibrosis, Leukoplakia as well as oral cancer.

FIRST INITIAL CONSULTATION
Your first visit is an opportunity for you to get to know the doctor and get information about the treatment facilities available. At your first visit, you will have to fill a form. Then, Dr. Archana Joshi will check you clinically and advice required X-rays and routine blood investigations for a more accurate diagnosis and treatment plan. Also, the treatment plan and the indicated surgical procedure will be explained in brief so that you get an idea about what is to be done.
TREATMENT PLAN CONSULTATION
After evaluating the X-rays and blood reports, the required surgical procedure, pre-operative and post operative instructions, possible consequences are explained to you. After all this, the appointment for surgery is scheduled. If you have any medical problem, then your physician’s consent is taken and measures are taken accordingly. An anesthetist is present or on call, if required. We are committed to help our patients by answering all the queries they have in mind before the surgery.
PREPARING FOR SURGERY
The instructions will be given to you when you fix the appointment according to individual case. Please follow the instructions carefully. Take medications as advised to you. Wear loose and comfortable clothes. Do not wear fingernail polish or lipstick. You must have an adult escort with you in the waiting room during the entire surgical procedure.
SURGICAL APPOINTMENT
The time for the surgery depends on the case. Patients are seen by appointment only. We make every effort to be on time for our patients, and ask that you extend the same courtesy to us. If you cannot keep an appointment, please notify us immediately. Cancel only if it is an emergency. We inform our patients of diagnosis and treatment options and explain in detail the surgical procedure and you are required to follow the preoperative instructions and take postoperative care. A thorough discussion of surgical and anesthetic procedures involved in your specific treatment plan can provide you with a level of understanding, comfort and confidence in the work you are about to have performed in our office.
CARE TO BE TAKEN AFTER SURGERY
Please follow the given instructions carefully. Do not drive immediately after surgery.Take enough rest at home. Eat soft foods and clear liquids for the first 24 hours following surgery eg.Ice-cream, juice, milkshake, cold milk, soups, rice, etc. Do not sleep or eat from the operated site for 7 days. Do not drink from a straw. Do not spit or rinse your mouth for 24 hours. Ice packs may be used to reduce swelling. Apply ice packs from outside every 30 minutes for the first 24 hours. Take prescribed medicines as advised. Do not smoke and avoid alcohol for one week following surgery.Please follow all the given instructions for better and faster healing.
Something about the most FAQ : ‘WISDOM TEETH’
Teeth erupt into the mouth in a specific sequence and pattern during childhood and adolescence. The last four teeth to develop are called the third molars, but most people refer to them as “Wisdom Teeth”. The wisdom teeth typically begin to erupt into the mouth between the ages of 16 and 20 years. Because there is often inadequate space for these teeth, they rarely grow in to assume a normal position within the jaws to become functional teeth that are useful in chewing. It is more often the case that these teeth come in crooked, different abnormal directions or they fail to erupt completely through the jawbone or gums. These poorly positioned wisdom teeth can have an effect on overall dental health. Problems arising from impacted teeth include pain, infection, tooth decay, crowding of teeth, Periodontal disease (gum disease),damage to adjacent teeth possibly resulting in loss of tooth or bone and can contribute to health problems. Cyst or tumors may arise from a developing third molar requiring larger, more extensive surgery. Pain is a common complaint during eruption and can be severe.
If you or your dentist have concerns regarding your wisdom teeth, an evaluation involving an oral and radiographic examination is done to evaluate the position of the wisdom teeth and potential problems and removal is advised if necessary.Removal of wisdom teeth is an outpatient procedure routinely done under local anesthesia. An updated health history is required. Patients must be accompanied by an adult escort during surgery.

Abnormal changes in the mouth typically are detected early as the oral cavity is readily accessible. Performing self-examinations regularly is encouraged to aid in early recognition. A wide variety of soft or hard tissue lesions associated with the oral cavity which generally involve ulcers, white or red patches , lumps, fibrous growths, discoloration of the gums, lips, cheek or tongue are the things to evaluate when performing self-examinations and if anything abnormal is found, then you should immediately visit your dentist.
'Health is Wealth'
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